👂 New case report: a 49-year-old with progressive hearing loss and tinnitus, initially chalked up to noise exposure - turned out to be late-onset otosyphilis. Read why this rare, easily-missed diagnosis deserves a high index of suspicion. Check it out: 🔗

Late-Onset Otosyphilis: A Case Study of Diagnostic Delay - Private Practice Infectious Disease

Otologic pathology is a well-known, though potentially underdiagnosed, complication of syphilis. While it is most commonly considered a manifestation of early latent or secondary syphilis, otologic symptoms...

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Now that the recent hantavirus outbreak aboard the MV Hondius appears to be over, it’s a good time to look back at what we know. This review covers ANDV’s rare person-to-person spread, superspreader dynamics, & PPE guidance for clinicians. 🔗

Hantavirus: Update on Outbreaks from the Four Corners to the MV Hondius - Private Practice Infectious Disease

The two forms of hantavirus infection include Old World, characterized by hemorrhagic fever with renal syndrome (HFRS), and New World, manifested by hantavirus pulmonary syndrome (HPS). In Chile and Argentina,...

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How do we solve our ID recruitment crisis? Dr. Kam Sidhwa’s new article shows private practices how to fix this: transparent pay, income diversification, and physician-led recruitment that sells culture, not just paperwork. 🔗

Recruiting Infectious Disease Physicians: A Deepening Crisis and a Path Forward - Private Practice Infectious Disease

The infectious disease (ID) physician workforce faces a recruitment crisis of growing severity. A persistent compensation gap, escalating medical student debt, limited pre-fellowship exposure, and the...

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#IDsky West Nile, yellow fever are commonly associated with encephalitis, but did you know the neurotropic nature of other arboviruses, including dengue and chikungunya? New review of neurological complications of arboviral infections here:

Neurological Complications of Arboviral Infections - Private Practice Infectious Disease

Arboviral infections represent an expanding global public health threat, with increasing recognition of their neurological complications. Dengue, chikungunya, Zika, yellow fever, and West Nile viruses...

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A practical framework for CVID, IgG subclass deficiency, and specific antibody deficiency: how to tell them apart and manage each in adult patients with recurrent infections. #IDsky

#IDsky What makes a private practice group successful? It starts with leadership, which is a skill, represented by a set of behaviors that must be actively and consistently performed. Read about the cornerstone qualities of what makes an effective leader.

Leadership and Group Structure for Private Practice Infectious Disease Physicians - Private Practice Infectious Disease

Private practice infectious disease (ID) groups face a distinctive set of organizational challenges that differ substantially from those confronting academic or hospital-employed physicians. Physician...

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#IDx 24 yo man p/w f/c, facial & nasal swelling after scratching inside of his nose. Exam revealed nasal swelling, furuncles, erythema, periorbital swelling & proptosis. Blood cx w/ MSSA (persistently +), MRV w/bilateral cavernous sinus thrombosis. How do you tx?

When Standard Therapy Is Not Enough: Invasive MSSA Bacteremia with Cavernous Sinus Thrombosis and Mycotic Aneurysm Requiring Salvage Beta-Lactam Therapy - Private Practice Infectious Disease

Methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia is commonly treated with beta-lactam antibiotics, including cefazolin and antistaphylococcal penicillins. Although cefazolin is supported...

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#IDsky 42 yo woman who presents with pelvic abscess 6 wks post TAH-BSO. Extension of abscess to adjacent bowel loops noted. What is the pathogen and how do you tx? www.ppidjournal.com/doi10-55636-...

Pt presents with 2 wk headaches, blurred vision, polyuria, polydipsia, Na 121. Found to have panhypopituitarism from mass involving pituitary gland. CT chest and skin lesion below. What is the diagnosis? www.ppidjournal.com/doi10-55636-...

What happens when a 79 year old woman wrestles a badger to protect her dog? What do you get from a badger bite? Read all about this fascinating case report here! www.ppidjournal.com/doi10-55636-...

Curbside consults are a daily reality in ID practice - but are we thinking carefully about the risk? This article examines the clinical, ethical and legal dimensions of curbside consults and gives you practical strategies to minimize liability

Informal (“Curbside”) Consultations in Infectious Disease Practice: Advantages, Disadvantages, and Liability Issues - Private Practice Infectious Disease

Informal consultations are discussions between healthcare professionals outside of formal clinical settings. The process involves a physician directly involved in a patient’s care requesting informal…

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Clinical educators - this one’s for you! A pragmatic approach to teaching ID in a busy private practice - actionable strategies to boost engagement and learning!

Teaching Infectious Diseases in the Context of a Busy Private Practice: A Pragmatic Framework for Clinician Educators - Private Practice Infectious Disease

Abstract Teaching infectious diseases (ID) in private practice is inherently constrained by multiple external and internal factors, including time scarcity, documentation burden, and financial…

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Malpractice litigation is a reality for many clinicians - even in ID. This article explains the anatomy of a lawsuit and shares proves risk reduction strategies to help protect your practice and your patients 🩺 💡 www.ppidjournal.com/doi10-55636-...

#IDsky

#IDsky

#IDsky New case report: Strep canis bacteremia in a COVID19 patient - a rare zoonotic infection with potential serious implications.

#IDsky 56 yo retired Desert Storm veteran p/w 1 month of fevers, 2 wks of headaches, 4 d of floaters & progressive loss of central vision. Hx of fostering dogs🐕 & 🐈. Fundoscopic exam: optic nerve disc edema w/ blurred disc margins. How would you tx? *click👇 www.ppidjournal.com/doi10-55636-...

#IDsky Curious about the differences between FMTs for recurrent C. Diff? Which therapy suits your patient best? Explore the 4 options: Rebyota, Vowst, VE303, and CP101 here. www.ppidjournal.com/doi10-55636-...

#IDsky Do you know the faux pas of an ID consultation? Don’t make these mistakes! Here are 8 steps to a successful ID consultation www.ppidjournal.com/doi10-55636-...

The Art and Science of Infectious Disease Consultation - Private Practice Infectious Disease

Infectious disease is a cognitive specialty, procedurally represented by the consultation. Done correctly, a consultation is a powerful tool that can change physician behavior, strengthen critical relationships,...

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#IDsky Learn key strategies on how to build a thriving Infectious Disease Private Practice here! www.ppidjournal.com/doi10-55636-...

Building a Thriving Infectious Disease Practice: Key Strategies for Financial Success and Sustainability - Private Practice Infectious Disease

This article summarizes key characteristics of a successful private practice group in Infectious Disease based on the experience of Metro Infectious Disease Consultants.

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#IDsky 22 yo man w/ PMH bicuspid aortic valve & recent dental work presents with fever, myalgias and Strep gordonii bacteremia. Echo shows this ⬇️. What is the diagnosis? *Click here to find out* www.ppidjournal.com/doi10-55636-...

#IDsky 50 yo man with poorly controlled DM, HTN p/w Group B strep bacteremia and the below findings. What is the diagnosis? *Click here to find out* www.ppidjournal.com/doi10-55636-...

#IDsky Read this fascinating case of myopericarditis caused by Salmonella! Pt presented with chest pain, fever, diffuse ST elevation on EKG, and trop elevation with diffuse enhancement of cardiac wall with myocardial edema. www.ppidjournal.com/doi10-55636-...

A Rare Case of Salmonella Myopericarditis in an Athlete: Diagnosis by Stool Polymerase Chain Reaction (PCR) - Private Practice Infectious Disease

Introduction Myocarditis, a potentially life-threatening disease characterized by inflammatory infiltration of the myocardium and/or degeneration of myocardial tissue, has many potential infectious...

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#IDsky Read this fascinating case of myopericarditis caused by Salmonella! Pt presented with chest pain, fever, diffuse ST elevation on EKG, and trop elevation with diffuse enhancement of cardiac wall with myocardial edema. www.ppidjournal.com/doi10-55636-...

A Rare Case of Salmonella Myopericarditis in an Athlete: Diagnosis by Stool Polymerase Chain Reaction (PCR) - Private Practice Infectious Disease

Introduction Myocarditis, a potentially life-threatening disease characterized by inflammatory infiltration of the myocardium and/or degeneration of myocardial tissue, has many potential infectious...

ppidjournal.com

#IDsky Which pts undergoing abdominal surgery should receive empiric anti-fungal therapy? A. Any abdominal surgery B. Septic shock C. Pts w/ recent abdominal surgery & recurrent gastrointestinal perforations/anastomotic leakages D. Pts w/hx of prior abx exposure www.ppidjournal.com/quiz/candida/

Board Review | Candida

In which patient population undergoing abdominal surgery, should empiric anti-fungal therapy be given? A) Any abdominal surgery B) Septic shock C) Patients with recent abdominal surgery and recurrent ...

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#IDsky Severe malaria meets sickle cell anemia: A complex case where P. Falciparum & ACS challenge both dx & treatment. Successful recovery with artesunate & RBC exchange transfusion highlight importance of timing concurrent prompt management! www.ppidjournal.com/doi10-55636-...

#IDsky 68 yo PWH on biktarvy, CD4 650, undetectable VL, recent dx of bladder cancer, bilateral nephrostomies, p/w PURPLE urine (see picture). Why is the urine purple? *click to find out* www.ppidjournal.com/quiz/march-2...

#IDsky 48 yo man p/w fever, chills, malaise, jaundice, throat swelling, & exudative pharyngitis. AST 299, ALT 528, Bili 8.3. Read about this interesting case of primary EBV hepatitis & how early intervention made the difference! *click to read* www.ppidjournal.com/doi10-55636-...

#IDsky 73 yo man p/w chronic oral lesions, odynophagia, mildly enlarged cervical LAD, 20 lb weight loss and RUL nodule. What is the diagnosis and how did he do? *Click to find out* www.ppidjournal.com/doi10-55636-...

#IDBoardReview 75 yo woman w/ PMH HTN, DM p/w 4d abd pain, f/c, n/v/diarrhea after eating raw crab 48 hours earlier. Blood cx grows out GNRs, what is dx? A. Enteropathogenic E. coli B. Haemophilus influenza C. Vibrio cholera non-O1/non-O139 strain D. PsAR www.ppidjournal.com/quiz/vibrio/